NPI 1124598792

Kaitlyn Nicole Jackman

Practitioner Athletic Trainer Shawnee, KS

Practice location

Address: 6320 Anderson St, Shawnee, KS 66226
Phone: (913) 240-7194

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1124598792
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Nov 2018
Record last updated: 27 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.